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Organization
PEACE OF MIND RESIDENTIAL AND COMMUNITY SERVICES INC
Active
Organization
PEACE OF MIND RESIDENTIAL AND COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES K. ROBBINS (EXECUTIVE DIRECTOR)
(910) 628-0039
Entity
Organization
Contact information
Practice address
809 W 3RD ST, PEMBROKE, NC 28372-7173
(910) 521-0588
(910) 521-2267
Mailing address
PO BOX 235, FAIRMONT, NC 28340-0235
(910) 734-1697
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL078129
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385H00000X
Respite Care
—
NC
Other
Enumeration date
01/05/2007
Last updated
01/10/2008
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